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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MR. WILLIAM G NICK LCSW
NPI 1093781536
Social Worker - Clinical in Sturgeon Bay, WI

Active since February 24, 2006Opted out of Medicare · through Jan 5, 2027
620 N 12TH AVE, STURGEON BAY, WI 54235(920) 743-9954 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. William G Nick Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. WILLIAM G NICK LCSW (NPI 1093781536) is an individual clinical provider in Sturgeon Bay, Wisconsin, licensed in Wisconsin (39205900) and active in the NPI registry since February 2006. He has opted out of Medicare through January 5, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1093781536
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. WILLIAM G NICKCredential: LCSW
Location Address620 N 12TH AVESturgeon Bay, WI 54235-1249
Mailing Address620 N 12th AveSturgeon Bay, WI 54235-1249 · (920) 743-9954
Phone(920) 743-9954
Sole ProprietorNo
Enumeration DateFebruary 24, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1093781536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WI · 39205900
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
620 N 12TH AVE, Sturgeon Bay, WI 54235
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Other Identifiers 1

Medicaid39205900WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. William G Nick Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 5, 2015 through January 5, 2027.

Opt-Out Effective DateJanuary 5, 2015
Opt-Out In Effect ThroughJanuary 5, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54235 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COUNSELING ASSOCIATES OF DOOR COUNTY, LLC
Counselor
620 N 12TH AVE
STURGEON BAY, WI 54235
Door County (920) 743-9554
MR. ALLEN L LUKACH LCSW, CADC III
Social Worker (Clinical)
620 N 12TH AVE
STURGEON BAY, WI 54235
Door County (920) 743-9954
MISS JODY S JESSUP MS, LPC, RD
Counselor (Professional)
620 N 12TH AVE
STURGEON BAY, WI 54235
Door County (920) 743-9554
MRS. KATHLEEN D PAMMER LPC, CADC
Counselor
620 N 12TH AVE
STURGEON BAY, WI 54235
Door County (920) 743-9554

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William Nick's NPI number?

The NPI number for William Nick is 1093781536. It was assigned to this individual provider in the NPPES registry on February 24, 2006.

Where is William Nick located?

William Nick practices at 620 N 12th Ave, Sturgeon Bay, WI 54235. The listed phone number is (920) 743-9954.

What is William Nick's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is William Nick enrolled in Medicare?

No. William Nick has opted out of Medicare through January 5, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for William Nick was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.